| NPI | 1215127683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A CROSSLAND Office Manager 575-393-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 99-17) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2008-01-11 |